| NPI | 1457593014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS CARMELO GAUD President 321-972-8312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN17231) |
| Enumeration Date | 2009-03-29 |
| Last Update Date | 2009-03-29 |